EMPLOYMENT APPLICATION

AEG Management MN, LLC

dba Target Center

Minneapolis, MN

EMPLOYMENT APPLICATION

Target Center is an equal opportunity employer. We encourage all qualified individuals to apply for employment. If you require

accommodations to complete the application, testing or interview process, please contact the Human Resources Department.

(PLEASE PRINT)

DATE ______________________

Name:______________________________________________________________________________________________

Last

First

Middle

Business / Mobile Telephone: (___)___________________________ Home Telephone: (___)___________________________

Present Address: _____________________________________________________________________________________

Number

Street

City

State

Zip

Permanent Address if different from present address:

___________________________________________________________________________________________________

Number

Street

City

State

Zip

EMPLOYMENT DESIRED

Referral Source: ______________________________________________________________________________________

Position applying for: __________________________________________________________________________________

Are you applying for: (Please circle Yes or No)

Regular full-time work? ...................................................................................................................... Yes

Regular part-time work? ..................................................................................................................... Yes

Temporary work, e.g. Summer or Holiday work?............................................................................... Yes

No

No

No

What days and hours are you available for work?____________________________________________________________

If applying for temporary work, during what period of time will you be available?

From________________________________________________ To_____________________________________________

Are you available for work on nights and weekends?...................................................................................... Yes

No

Would you be available to work overtime, if necessary?................................................................................ Yes

No

If hired, on what date can you start work?__________________________________________________________________

Salary desired:________________________________________________________________________________________

PERSONAL INFORMATION

Have you ever applied to work for Target Center? .......................................................................................... Yes

No

If yes, when? ________________________________________________________________________________________

Do you have any friends or relatives working for Target Center? .................................................................. Yes

No

If hired, would you have a reliable means of transportation to and from work? ............................................... Yes

No

Are you at least 18 years of old?...................................................................................................................... Yes

No

Do you have the legal right to work in the United States?............................................................................... Yes

No

(Note: If under 18, hire is subject to verification that you are of legal minimum legal age.)

(Note: Proof of identity and legal authority to work in the United States is a condition of employment.)

Have you ever been convicted of a crime other than a traffic violation? ........................................................ Yes

No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

___________________________________________________________________________________________________

___________________________________________________________________________________________________

(Note: A conviction will not automatically disqualify you for employment. Each case will be individually considered based on specific facts.)

Are you currently employed?........................................................................................................................... Yes

If so, may we contact your current employer?................................................................................................. Yes

School

Name and Address

No. of Years

Completed

Did you

Graduate?

No

No

Degree or

Diploma

Junior High

High School

College / University

Vocational / Business

Other

Some of our customers do not speak English. Do you speak, write, or understand any other languages?

Yes

No

If yes, which language(s)?______________________________________________________________________________

Do you have any other experience, training, qualifications or skills which you feel make you especially suited to

work for Target Center? If so, please explain _______________________________________________________________

___________________________________________________________________________________________________

EMPLOYMENT HISTORY

Please list all present and past employment starting with your most recent employer (last ten [10] years is sufficient).

You must complete this section even if attaching a resume. If additional pages are needed, please attach.

Name of Employer:___________________________________________________________________________________

Address:____________________________________________________________________________________________

Type of Business:_____________________________________________________________________________________

Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________

Your Position and Duties:_______________________________________________________________________________

Dates of Employment: From:______________________________ To:___________________________________________

Starting Pay:______________________________________ Ending Pay:_________________________________________

May we contact this employer?.......................................................................................................................

Yes

No

Reason for Leaving:____________________________________________________________________________________

Name of Employer: __________________________________________________________________________________

Address: ____________________________________________________________________________________________

Type of Business: _____________________________________________________________________________________

Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________

Your Position and Duties:_______________________________________________________________________________

Dates of Employment: From:_____________________________ To:____________________________________________

Starting Pay:______________________________________ Ending Pay:_________________________________________

May we contact this employer?....................................................................................................................... Yes

No

Reason for Leaving:___________________________________________________________________________________

Name of Employer: __________________________________________________________________________________

Address: ____________________________________________________________________________________________

Type of Business: _____________________________________________________________________________________

Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________

Your Position and Duties:_______________________________________________________________________________

Dates of Employment: From:_____________________________ To:____________________________________________

Starting Pay:______________________________________ Ending Pay:_________________________________________

May we contact this employer?....................................................................................................................... Yes

No

Reason for Leaving:___________________________________________________________________________________

Name of Employer: __________________________________________________________________________________

Address: ____________________________________________________________________________________________

Type of Business: _____________________________________________________________________________________

Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________

Your Position and Duties:_______________________________________________________________________________

Dates of Employment: From:_____________________________ To:____________________________________________

Starting Pay:______________________________________ Ending Pay:_________________________________________

May we contact this employer?....................................................................................................................... Yes

No

Reason for Leaving:___________________________________________________________________________________

Have you ever been terminated or asked to resign your job? If yes, please explain:__________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

Please identify and explain all periods of unemployment over the past ten (10) years:

From:____________ To:__________Reason:_______________________________________________________________

From:____________ To:__________Reason:_______________________________________________________________

MILITARY SERVICE

Have you obtained any special skills or abilities as the result of service in the military?............................... Yes

No

If so, please describe:__________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

REFERENCES

Please list below three persons not related to you, who have knowledge of work performance within the last three (3) years:

Name:____________________________________ Occupation:________________________________________________

Address:____________________________________________________________________________________________

Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________

Name:____________________________________ Occupation:________________________________________________

Address:_____________________________________________________________________________________________

Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________

Name:____________________________________ Occupation:________________________________________________

Address:_____________________________________________________________________________________________

Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________

ACKOWLEDGEMENT

Please read carefully, initial each paragraph, and sign below.

______ I hereby certify that the information contained in this application is true and correct to the best of my knowledge.

I futher certify that I, the undersigned applicant, have personally completed this application. I understand that any

misrepresentation, falsification or omission of information on this application or any document used to secure

employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless

of the time elapsed before discovery.

______ I hereby authorize the Company to thoroughly investigate the information on my application, my references, work

record, education and other matters related to my suitability for employment and, futher, authorize the references I

have listed to disclose to the Company all letters, reports, and other information related to my work records, without

giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all

other persons or entities from any and all claims, demands or liabilities arising out of or in any way related to such

investigation or disclosures.

______The Company adheres to a policy of AT-WILL employment which means that each employee and the Company

each retain the right to terminate the employment relationship and that the Company retains the right to modify an

employee¡¯s position or compensation at any time, with or without cause or notice. No one other than the President

has the authority to make any binding promise or enter into any agreement inconsistent with Company¡¯s at-will

policy and any such agreement must be in writing and signed by both the employee and the President of the

Company to be effective.

______ As a condition of employment, all individuals offered employment are required to submit to a pre-employment drug test.

Date:_______________________________ Applicant¡¯s Signature:______________________________________________

Rev. 08/07

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